Mcdonald, Brandon Timothy

Mcdonald, Brandon Timothy is an individual health care provider with primary practice located at 1005 E Cheves St , Florence SC 29506-2707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mcdonald, Brandon Timothy can be contacted via phone (843) 777-7900.

Contact Information

Primary practice address
1005 E Cheves St Florence SC 29506-2707
Fax: (843) 777-7925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 40718 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 85773 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL40718 South Carolina

Profile Details

NPI number 1346779477
LBN Legal business name Mcdonald, Brandon Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Sep 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346779477 NPPES
South Carolina MEDICAID 407189

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